samsung academy
Please complete this form to apply for a spot in a Samsung Mobile App Academy.

Click here to download a Samsung Mobile App Academy informational flyer.

Samsung Mobile App Academy Eligibility Requirements:
  • Did not attend a summer 2012 or 2013 Samsung Mobile App Academy

  • *Must be an 11th or 12th grader during the upcoming 2014–2015 school year

  • Have taken or be enrolled in two or more AP and/or Honors science, technology, engineering, and/or mathematics classes

  • Have a GPA of 3.0 or higher

  • Live within a 60-mile radius of the university location of a Samsung Mobile App Academy (see Official Rules: scholastic.com/samsungacademy) (transportation not provided)

  • Submit fully completed registration form online or by fax (click here to download a Samsung Mobile App Academy informational flyer)

  • Spots in the Samsung Mobile App Academy will be determined by random lottery for students who meet eligibility requirements

All accepted students who attend the full three-day Samsung Mobile App Academy will receive a Samsung Galaxy Note® 10.1 - 2014 Edition tablet. To be eligible for scholarships, students must attend a full three-day Samsung Mobile App Academy and submit an app concept within two weeks following the Samsung Mobile App Academy of attendance. For Official Rules and more details, go to scholastic.com/samsungacademy.

ALL FIELDS BELOW ARE REQUIRED
Samsung Mobile App Academy city applying to:
 San Francisco (CLOSED)  
 Atlanta (CLOSED)  
 DC/Baltimore Region (CLOSED)  
 Miami (CLOSED)  
 Dallas (CLOSED)  
 Detroit Region (CLOSED)  
 Boston (CLOSED)  
 Philadelphia (CLOSED)  
 Chicago (CLOSED)  
 New York City (CLOSED)  
Student name:
I will be:
 an 11th grader during the 2014–2015 school term  
 a 12th grader during the 2014–2015 school term  
High school graduation year:
Current age:          Birth date and year (MM/DD/YYYY):
Gender:
 Male  
 Female  
 Do not wish to disclose  
Parent/Guardian name:
Parent/Guardian home number:
(555-555-5555)


Parent/Guardian cell number:
(555-555-5555)
Student cell number:
(555-555-5555)
Email address that your parent/guardian uses daily:
Email address that you use daily:
Home address:
City:        State:        Zip:
School name:
School address:
City:        State:        Zip:
Current GPA (on a 4.0 scale):
List AP and/or Honors courses you have taken related to science, technology, math, and/or engineering:
Please answer the question: Why is it important to you to attend the Samsung Mobile App Academy? (No more than 1,700 characters or approximately 200 words.)
Parent or Legal Guardian: By submitting this application form, I certify that the information provided is true and that I authorize my child to participate in the Samsung Mobile App Academy.


Parent or legal guardian name: